HomeMy WebLinkAbout20-788 , D �
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r 111 City of Zephyrhills {
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5335 Eighth Street -
Zephyrhills, FL 33542 BGR-000788-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 09/24/2020
Permit Type: Building General (Residential)
Property Number -Street Address
24 26 21 0030 00000 1460 3834 Lacoste Street
Owner Information Permit Information Contractor Information
Name: NHC-FL115 LLC Permit Type:Building General(Residential) Contractor: SUPER HEAT AND AIR LLC
Class of Work:HVAC Changeout
Address: 27777 Franklin Rd STE 200 Building Valuation:$0.00
SOUTHFIELD,Ml 48034-8205 Electrical Valuation:$0.00
Phone: Mechanical Valuation:$5,648.00 lJv
Plumbing Valuation:$0.00 /� ✓�
Total Valuation:$5,648.00 I
Total Fees:$68.24
Amount Paid:$68.24
Date Paid:9/24/2020 2:36:09PM
Project Description
A/C CHANGE OUT 3 TON PKG UNIT
Application Fees rt.
Mechanical Permit Fee $68.24
REINSPECTION FEES: (c)With respect to Reinsp6ction fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner:Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
t, CUNTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting —
Owner's Name VC-IC. -C "%'r V S Owner Phone Number
Owner's Address 'S'Ii 3 Lc-,- Owner Phone Number
Fee Simple Titleholder Name �— Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS J O i., cc;-6A t' si 3, ( N% y�i LOT#
SUBDIVISION � .^S�S t� d<"aV-S PARCEL,ID# 9 49&.,g J®'30 6
(OBTAINED FROM PRO ERTY TAX NOTICE)
WORK PROPOSED R
NEW CONSTR ADDIALT SIGN Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR COMM OTHER 'C A
TYPE OF CONSTRUCTION BLOCK Q FRAME u STEEL Q
DESCRIPTION OF WORK V+a..� �. Q '� ��z✓1.� '�'-�if (,�ti✓�rA
BUILDING SIZE F I SQ FOOTAGE HEIGHT
=BUILDING L$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE Q PROGR SS ENERGY Q W.R,E.C. .
QPlUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
Y
=GAS Q ROOFING Q SPECIALTY OTHER //? �'
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO l vv�
44
BUILDER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License 0
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
MECHANICAL 1P� 1 �l�'�- COMPANY y
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N j FEE CURREN Y/N
Address License#
;.jFs 4NALit':l. .7E;:It:! ., 4 I�1�:311:IF_ :�Y:1�• Ii: s #;IEi ., IE. ;a l['.I
DCCIMUT1A1 Aff—h/O1 DIM PI.—/91 cnfc of M1411—Dlonc•!11 ccf of Fnom.i I=—.-0-r)-1AI D.—if fnr w nnncfn u+finn
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
,
NOTICE OF DEED RESTRICTIONS:The undersigned understands that this permit maybe subject to"deed" estrictions"which maybe more restrictive
than County regulations.The undersigned assumes responsibility for compliance with any applicable deed re trictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:If the owner has hired a contractor or contractors to undertake work,they
may be required to be licensed in accordance with state and local regulations.If the contractor is not licensed as required by law,both the owner and
contractor may be cited for a misdemeanor violation under state law.If the owner or intended contractor are u icertain as to what licensing requirements
may apply for the Intended work,they are advised to contact the Pasco County Building Inspection Division— lcensing Section at 727-847-8009.
Furthermore,if the owner has hired a contractor or contractors,he is advised to have the contractor(s)sign p 3rtions of the"contractor Block"of this
application for which they will be responsible.If you,as the owner sign as the contractor,that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in Pasco County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FE S:The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new building change of use in existing buildings,or
expansion of existing buildings,:as specified in Pasco County Ordinance number 89-07 and 90-07,as amend d.The undersigned also understands,that
such fees,as may be due,will be identified at the time of permitting.It is further understood that Transportatio i Impact Fees and Resource Recovery
Fees must be paid prior to receiving a"certificate of occupancy"or final power release.If the project does not nvolve a certificate of occupancy or final
power release,the fees must be paid prior to permit issuance.Furthermore,if Pasco County Water/Sewer Im act fees are due,they must be paid prior
to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended):If valuation of work is$2,600.0 or more,I certify that 1,the applicant,
have been provided with a copy of the"Florida Construction Lien Law—Homeownees Protection Guide"prep red by the Florida Department of
Agriculture and Consumer Affairs.If the applicant is someone other than the"owner",I certify that I have obta ned a copy of the above described
document and promise in good.faith to deliver it to the"owner"prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT:I certify that all the information in this application is accurate and it at all work will be done in compliance with
all applicable laws regulating construction,zoning and land development.Application is hereby made to obtaii i a permit to do work and installation as
indicated.I certify that no work or installation has commenced prior to issuance of a permit and that all work V ill be performed to meet standards of all
laws regulating construction,County and City codes,zoning regulations,and land development regulations in the jurisdiction.t also certifythat 1
understand that the regulations of other government agencies may apply to the intended work,and that it is rr y responsibility to identify what actions 1
must take to be in compliance.Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bay earls, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health L nit-Wells, Wastewater.Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone W"unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is pr pared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit ap lication, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to
commencing construction.I understand that.a separate permit may be required for electrical work,plumbing, signs,wells,pools,air conditioning,gas,or
other installations not specifically included in the application.A permit issued shall be construed to be a licen a to proceed with the work and not as
authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a p rmit prevent the Building Official from
thereafter requiring a correction of errors in plans,construction or violations of any codes.Every permit Issue I shall become invalid unless the work
authorized by such permit is commenced within six months of permit issuance,or if work authorized by the p rmit is suspended or abandoned for a
period of six(6)months after the time the work is commenced.An extension may be requested,in writing,frc m the Building Official for a period not to
exceed ninety(90)days and will demonstrate justifiable cause for the extension.If work ceases for ninety(9 )consecutive days,the job is considered
abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TC OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE 0 F COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) j 1
OWNER OR AGENT CONTRACTOR IAA W,
Subscribed and sworn to(or affirmed)before me this SubIRcr+t^ �- cl w' orn to(or affirmed before me this
by 4!3 { -e.n c 1l
Who is/are personally known to me or has/have produced is re personall kna
as Identification. r . , age JdJ%8ETH.8LAKELEY
1F 9 4�
Notary Public State of Florida
•: ;•E Commission#GG 033509
Notary Public ll�k► t �t4J %b, P�;^ Iti�y Comm.Expires Se 20�U is
one rou o ary sSri
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Super Heat and-Air, LLC
Picture 4 of 7 For WIP: 21043-101
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